医学
公共卫生
青少年健康
心理健康
2型糖尿病
乳腺癌
儿科
糖尿病
老年学
精神科
癌症
内分泌学
内科学
护理部
作者
Tuck Seng Cheng,Ken K. Ong,Frank M. Biro
标识
DOI:10.1016/j.jpag.2022.05.005
摘要
Given the global secular declining trends of the age at puberty and its relevant mechanisms, as illustrated in the first part of this series, the present part will discuss the public health implications of early puberty and potential clinical and public health measures. Although the major effect of earlier maturation impacts adolescents' mental health and likelihood of engaging in risky behaviors, there are also effects in adulthood on cardiometabolic health, especially type 2 diabetes, and an increased risk of certain cancers, especially hormone-related cancers such as breast cancer. The paper ends with recommendations for clinical management, especially for girls who should receive further evaluation, as well as recommendations for the patient and her family and public health considerations.
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